Table 3.
Risk factors for hepatocellular carcinoma in patients with primary biliary cholangitis.
Study | Statistics | |
---|---|---|
Demographics | ||
Older age | Shibuya (2002) [102] | p = 0.008 |
Suzuki (2007) [105] | OR: 1.7; 95%CI: 1.1–2.5, p < 0.01 | |
Deutsch (2008) [106] | HR: 1.16; 95%CI: 1.02–1.32, p = 0.027 | |
Rong (2015) [107] | Age > 54 years OR: 5.5; 95%CI: 3.0–10.1, p = 0.001 | |
Male sex | Shibuya (2002) [108] | p = 0.005 |
Suzuki (2007) [109] | OR: 9.7; 95%CI: 1.4–68.3, p = 0.02 | |
Harada (2013) [101] | OR: 3.09, p = 0.0012 | |
Rong (2015) [107] | OR: 2.2; 95%CI: 1.2–4.0, p = 0.001 | |
Clinical features | ||
Histological stage | Shibuya (2002) [108] | Higher incidence in advanced (stage III/IV) vs. early stage (I/II) *, p = 0.021 |
Cavazza (2009) [110] | Higher incidence in advanced stage OR: 5.80; 95%CI: 2.34–14.38 * #, p < 0.001 | |
Deutsch (2008) [106] | Baseline stage IV, HR: 31.50; 95%CI: 1.59–625.30 #, p = 0.024 | |
Harada (2013) [101] | Increase in incidence with histological stage in females *, p < 0.001 | |
Any sign of portal hypertension (ascites, thrombocypenia, or esophageal varices) | Suzuki (2007) [109] | OR: 22.9; 95%CI: 3.4–155.3, p < 0.01 |
Thrombocytopenia | Trivedi (2015) [103] | HR: 1.41; 95%CI: 1.25–1.58, p < 0.0001 |
Data related to biochemical activity and treatment response | ||
Non-response to UDCA | Kuipers (2010) [111] | p < 0.001 |
Trivedi (2015) [103] | Biochemical non-response (Paris-I criteria) HR: 3.44; 95%CI: 1.65–7.14, p < 0.0001 |
|
Co-existing factors | ||
Past HBV infection | Rong (2015) [102] | OR: 6.6; 95%CI: 3.7–11.9, p = 0.001 |
Diabetes mellitus | Rong (2015) [107] | OR: 3.1; 95%CI: 1.6–6.2, p = 0.002 |
BMI ≥ 25 (kg/m2) | Zhang (2015) [112] | OR: 1.116; 85%CI: 1.002–1.244, p < 0.05 |
Alcohol consumption | Zhang (2015) [112] | OR: 10.294; 95%CI: 1.108–95.680, p = 0.04 |
OR: odds ratio; HR: hazard ratio. * Histological stage was classified according to Scheuer’s criteria; # Histological stage was classified according to Ludwig criteria.